• Title/Summary/Keyword: paresis

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Surgical Treatment of Lumbosacral Stenosis Caused by Bacterial Discospondylitis in a Great Dane Dog

  • Yim, Hyeongjun;Kim, Jong-Hoon;Kim, Hyeonjo;Kim, Jieyoo;Lee, Si Eun;Lee, Hee Chun;Kim, Nahyun;Lee, Dongbin;Lee, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.38 no.1
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    • pp.45-48
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    • 2021
  • A 6-year-old, 26 kg spayed female Great Dane presented with back pain and hindlimb paresis. On neurological examination, severe pain was detected on the lumbosacral joint displaying nerve-root signature. The animal presented with lower motor neuron paresis with normal deep pain perception. Radiographic examination revealed narrowing of the lumbosacral joint disc space with endplate destructive lysis. Magnetic resonance imaging of the lumbosacral joint revealed a cauda equina compression, especially on the left. On T2 and T1-weighted images, a mass sized 1 × 1 cm was identified laterally to the left of the lumbosacral joint with hyperintense signal. The lumbosacral joint was stabilized by applying the dorsal distraction fixation-fusion technique and dorsal laminectomy. The soft tissue mass was removed, and a bacterial culture was performed. Coagulase-negative Staphylococcus spp. were detected and discospondylitis was treated with clindamycin for 6 weeks. The patient showed clinical improvement without pain and hindlimb paresis until 6 months follow-up postoperatively.

Studies on distribution of calcium and electromyogram in experimental hypocalcemia (재래산양의 Hypocalcemia에 있어서의 Ca의 동태 및 근전도학적인 연구)

  • Park Moo Hyen;Kang Chung Boo
    • Journal of the korean veterinary medical association
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    • v.17 no.2
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    • pp.63-71
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    • 1981
  • Experimental hypocalcemia was induced in normal goats by intravenous administration with various concentration of $Na_2-EDTA$ solution. Tile results are summarized as follows: 1. Progressive depression of reflexes and body temperature, paresis,

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Intraoperative Monitoring of Motor-Evoked Potentials for Supratentorial Tumor Surgery

  • Lee, Jung Jae;Kim, Young Il;Hong, Jae Taek;Sung, Jae Hoon;Lee, Sang Won;Yang, Seung Ho
    • Journal of Korean Neurosurgical Society
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    • v.56 no.2
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    • pp.98-102
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    • 2014
  • Objective : The purpose of this study was to assess the feasibility and clinical efficacy of motor evoked potential (MEP) monitoring for supratentorial tumor surgery. Methods : Between 2010 and 2012, to prevent postoperative motor deterioration, MEP recording after transcranial stimulation was performed in 84 patients with supratentorial brain tumors (45 males, 39 females; age range, 24-80 years; median age, 58 years). MEP monitoring results were correlated with postoperative motor outcome compared to preoperative motor status. Results : MEP recordings were stable in amplitude (<50% reduction in amplitude) during surgery in 77 patients (91.7%). No postoperative motor deficit was found in 66 out of 77 patients with stable MEP amplitudes. However, postoperative paresis developed in 11 patients. False negative findings were associated with edema in peri-resectional regions and postoperative bleeding in the tumor bed. MEP decrease in amplitude (>50%) occurred in seven patients (8.3%). However, no deficit occurred postoperatively in four patients following preventive management during the operation. Three patients had permanent paresis, which could have been associated with vascular injury during tumor resection. Conclusions : MEP monitoring during supratentorial tumor surgery is feasible and safe. However, false negative MEP results associated with postoperative events may occur in some patients. To achieve successful monitoring, collaboration between surgeon, anesthesiologist and an experienced technician is mandatory.

Systematic Review on Effect of Mirror Therapy on Upper Extremity Function for Stroke Patients (뇌졸중 환자의 상지기능 향상을 위한 거울치료 효과에 관한 체계적 고찰)

  • Park, Jin-Hyuck;Heo, Seo-Yoon
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.215-222
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    • 2014
  • Recent years, mirror therapy or mirror neuron therapy has been used to improve neural damage of upper extremities among stroke patients. This systematic review was conducted to assess the clinical effect of mirror therapy used for the treatment of upper extremities for patients with stroke. After literature search, researchers selected for 9 randomized controlled clinical trial studies registered up to October 2013 based on PubMed database, using the following search terms: mirror therapy, mirror neuron, stroke, paresis, hemiplegia, upper extremity. There were significant improves of distal upper extremity function in the use of mirror therapy groups but the research using range of motion(ROM) as outcome measure. In conclusion, mirror therapy was more effective than conventional therapies or sham therapies for upper recovery of distal upper extremity function among stroke patients.

Influences of Rehabilitation Motivation, Self-efficacy and Family Support on Rehabilitation Adherence in Stroke Patients (뇌졸중 환자의 재활동기, 자기효능감 및 가족지지가 재활이행에 미치는 영향)

  • Park, An Suk;Ko, Eun
    • Journal of Korean Biological Nursing Science
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    • v.19 no.2
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    • pp.113-122
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    • 2017
  • Purpose: The purpose of this study was to identify influencing factors on rehabilitation adherence in stroke patients. Methods: This study was a descriptive survey. A structured questionnaire was used for face-to-face interviews with a convenient sample of 192 subjects, who were admitted in 5 rehabilitation hospitals located in G metropolitan city. Results: The score of rehabilitation motivation in the subjects was a mean of $2.04{\pm}0.35$, self-efficacy $6.22{\pm}2.32$, family support $3.40{\pm}0.82$ and rehabilitation adherence $3.08{\pm}0.41$. The rehabilitation adherence was a statistically significant difference according to the education level (F= 3.40, p= .035), marital status (F= 4.04, p= .019), number of personal insurance policies (K= 9.80, p= .020), location of paresis (F= 2.72, p= .046), and status of current smoking (M = 657.00, p= .001). There was significant correlation among degree of rehabilitation adherence, rehabilitation motivation (r= .30, p< .001), self-efficacy (r= .14, p= .046) and family support (r= .18, p= .011). Rehabilitation motivation (${\beta}=0.19$, p= .007), self-efficacy (${\beta}=0.14$, p= .035), marital status (${\beta}=0.14$, p= .038), number of personal insurance policies (${\beta}=-0.15$, p= .045) and location of paresis(${\beta}=-0.15$, p= .028) were identified as significant predictors. This model explained 22.6% of variance in rehabilitation adherence (F= 5.92, p< .001). Conclusion: There is a need to develop an effective intervention for rehabilitation adherence improvement considering the identified variables in this study.

A Clinical Study on the Case of Ophthalmoplegic Migraine Treated with Electroacupuncture (전침을 활용한 안검하수와 안구운동마비를 동반한 편두통환자의 치험 1례)

  • Lyu, Yun-Sun;No, Dong-Jin;Park, Jang-Ho;Lee, Go-Eun;Park, In-Sook;Kang, Hyoung-Won;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.135-142
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    • 2011
  • Objectives : The purpose of this case was to investigate the effectiveness of electroacupuncture for ophthamoplegic migraine. Methods : We provided electroacupuncture therapy and prescribed oriental medicine, Joganiknoe-tang daily. We measured patient's pain by VAS(Visual Analogue Scale) and eye movement with a ruler every five days. Results & Conclusions : Any patient who has a headache with paresis of the extraocular muscle should be considered for ophthalmoplegic migraine. To diagnose ophthalmoplegic migraine, family history, past medical history, associated symptoms and signs, neurologic examinations and neuroimaging tests are needed. The symptoms of patient improved gradually within 26days from the first day of admission, and we can see her complete recovery.

Spinal Lymphoma in a Cat (고양이에서 척수림프종의 발생례)

  • 권오경;홍성혁
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.279-284
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    • 2000
  • A 3.5kg, 3-year-old castrated male Japanese domestic cat withpelvic limb ataxia and dysuria was referred to the Veterinary Medical Center of the Tokyo University. On the neurologic examination findings, both pelivic had a LMN paresis. The cat was FeLV positive and FIV negative. Radiographic findings did not identify the spinal lesions. In magnetic resonance images(MRI) of the lumbar spinal cord, the cat had the lesions in the lumbar(L) 1 and L3, characterized by hyperintensity on a transverse T2-weighted and T1-weighted images, and contrast enhancement was evident. The mass removed by dorsal laminectomy. Histopathological examination of the mass revealed spinal lymphoma. Three weeks after the surgery, the cat administered chemotherapy protocol for lymphoma by current protocol. Two weeks after chemotherapy, the cat had a metastasis to bone marrow and died.

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A Case of One and A Half Syndrome ($1{\frac{1}{2}}$ 증후군 1례)

  • O, Khyoung-Yhun;Hah, Jung-Sang;Byun, Yeung-Ju;Park, Choong-Suh
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.167-172
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    • 1988
  • One and a half syndrome is an ipsilateral gaze paresis or palsy combined with an internuclear opthalmoplegia on controlateral gaze. The lesion site is at the paramedian pontine reticular formation and the adjacent MLF. The common causes are unilateral pontine infarction and multiple sclerosis. We experienced a case of one and a half syndrome which has a suspected small pontine infarct.

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Neuralgic Amyotrophy Manifesting as Mimicking Posterior Interosseous Nerve Palsy

  • Yang, Jin Seo;Cho, Yong Jun;Kang, Suk Hyung;Choi, Eun Hi
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.491-493
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    • 2015
  • The upper trunk of the brachial plexus is the most common area affected by neuralgic amyotrophy (NA), and paresis of the shoulder girdle muscle is the most prevalent manifestation. Posterior interosseous nerve palsy is a rare presentation in patients with NA. It results in dropped finger on the affected side and may be misdiagnosed as entrapment syndrome or compressive neuropathy. We report an unusual case of NA manifested as PIN palsy and suggest that knowledge of clinical NA phenotypes is crucial for early diagnosis of peripheral nerve palsies.

Treatment of Intervertebral Disc Disease in Dogs: 56 Cases (1999~2001) (개에서 추간판 질환의 치료 56례(1999-2001))

  • 정성목;양정환;남치주
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.219-224
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    • 2002
  • Fifty six dogs diagnosed with intervertebral disk disease between January 1999 and August 2001 were reviewed to characterize signalments and prognosis. Seventy-five percent was chondrodystrophoid breeds (42 dogs). Mean age was 5.1$\pm$3.0 year-old and fifty-four percent had acute onset. Interspaces between eleventh thoracic vertebrae and fourth lumbar vertebrae were affected most commonly. Success rate of conservative treatment to dogs with paresis was 83% and that of operation to dogs with paralysis was 67%. Six dogs were recurred and 50% of them had recovered again. There was significant correlation between success rate of treatment and the degree of clinical signs but there was no significant correlation between success rate of treatment and rate of onset, status of clinical signs, duration of clinical signs.